Evidence map›Paper›PMID 29617375›Full record

Trial reportPloS one2018

Gender-transformative Bandebereho couples' intervention to promote male engagement in reproductive and maternal health and violence prevention in Rwanda: Findings from a randomized controlled trial.

Kate Doyle, Ruti G Levtov, Gary Barker, Gautam G Bastian, Jeffrey B Bingenheimer, Shamsi Kazimbaya, Anicet Nzabonimpa, Julie Pulerwitz, Felix Sayinzoga, Vandana Sharma and 1 more

4 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 129 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed, 12 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02694627 nacompletednot on this map

Bandebereho Father Groups: a Randomized Control Trial to Assess the Impact of Maternal, Newborn and Child Health Group Education for New and Expecting Fathers

TypeinterventionalSponsorPromundo, United StatesRan2015 to 2017Enrolled2,400ConditionsGender Relations, Prenatal Care, Partner Communication, ContraceptionArmsMenCare+/Bandebereho fathers'/couples' group education
NCT04442152 nacompletednot on this mapstarted 2020, after this paper: background citation

Phone Survey for Understanding the Impact of COVID-19 on Caregiving and Family Dynamics on Bandebereho Study Participants

TypeinterventionalSponsorPromundo, United StatesRan2020 to 2020Enrolled998ConditionsGender Relations, Partner Communication, Division of Carework, Couple ConflictArmsMenCare+/Bandebereho fathers'/couples' group education
NCT04861870 nacompletednot on this mapstarted 2021, after this paper: background citation

Bandebereho Randomized Control Trial: Six Year Follow-up to Assess the Impact of a Gender-transformative Intervention With Couples to Promote Men's Engagement in Maternal, Newborn and Child Health, Caregiving and Healthier Couple Relations

TypeinterventionalSponsorPromundo, United StatesRan2021 to 2021Enrolled2,818ConditionsGender Relations, Violence, Child Development, ContraceptionArmsMenCare+/Bandebereho fathers'/couples' group education
NCT07734961 naactive not recruitingnot on this mapstarted 2025, after this paper: background citation

Beyond the Couple: Gender-Transformative Interventions and Normative Beliefs About Reproductive Decision-Making of Newly Married People in India

TypeinterventionalSponsorTechnical University of MunichRan2025 to 2026Enrolled2,276ConditionsNorm, Social, Autonomy, Relation, FamilyArmsLet Us Grow Together: Economic Wellbeing for Families
3 · Its place in the literature

Who cites it

129 citing papers in PubMed, 12 syntheses or guidelines pooled it.

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69 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Kate DoylePromundo-US, Washington, DC, United States of America.
Ruti G LevtovPromundo-US, Washington, DC, United States of America.ORCID 0000-0002-7030-8786
Gary BarkerPromundo-US, Washington, DC, United States of America.
Gautam G BastianGender Innovation Lab, World Bank, Washington, DC, United States of America.
Jeffrey B BingenheimerMilken Institute School of Public Health, The George Washington University, Washington, DC, United States of America.
Shamsi KazimbayaRwanda Men's Resource Center, Kigali, Rwanda.
Anicet NzabonimpaMaternal, Child and Community Health Division, Rwanda Ministry of Health, Rwanda Biomedical Center, Kigali, Rwanda.
Julie PulerwitzHIV and AIDS Program, Population Council, Washington, Washington, DC, United States of America.
Felix SayinzogaMaternal, Child and Community Health Division, Rwanda Ministry of Health, Rwanda Biomedical Center, Kigali, Rwanda.
Vandana SharmaHarvard T.H. Chan School of Public Health, Harvard University, Boston, MA, United States of America.
Dominick ShattuckInstitute for Reproductive Health, Georgetown University, Washington, DC, United States of America.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRigorous evidence of the effectiveness of male engagement interventions, particularly on how these interventions impact relationship power dynamics and women's decision-making, remains limited. This study assessed the impact of the Bandebereho gender-transformative couples' intervention on impact on multiple behavioral and health-related outcomes influenced by gender norms and power relations.

methodsWe conducted a multi-site randomised controlled trial in four Rwandan districts with expectant/current fathers and their partners, who were randomised to the intervention (n = 575 couples) or control group (n = 624 couples). Primary outcomes include women's experience of physical and sexual IPV, women's attendance and men's accompaniment at ANC, modern contraceptive use, and partner support during pregnancy. At 21-months post-baseline, 1123 men and 1162 partners were included in intention to treat analysis. Generalized estimating equations with robust standard errors were used to fit the models.

findingsThe Bandebereho intervention led to substantial improvements in multiple reported outcomes. Compared to the control group, women in the intervention group reported: less past-year physical (OR 0.37, p<0.001) and sexual IPV (OR 0.34, p<0.001); and greater attendance (IRR 1.09, p<0.001) and male accompaniment at antenatal care (IRR 1.50, p<0.001); and women and men in the intervention group reported: less child physical punishment (women: OR 0.56, p = 0.001; men: OR 0.66, p = 0.005); greater modern contraceptive use (women: OR 1.53, p = 0.004; men: OR 1.65, p = 0.001); higher levels of men's participation in childcare and household tasks (women: beta 0.39, p<0.001; men: beta 0.33, p<0.001); and less dominance of men in decision-making.

conclusionsOur study strengthens the existing evidence on male engagement approaches; together with earlier studies our findings suggest that culturally adapted gender-transformative interventions with men and couples can be effective at changing deeply entrenched gender inequalities and a range of health-related behavioral outcomes.

trial registrationClinicalTrials.gov NCT02694627.

Indexed as

Maternal HealthAdultFamilyFathersFemaleHumansIntimate Partner ViolenceMaleMenPregnancyRwandaSexual BehaviorSexual PartnersSocioeconomic FactorsYoung Adult

Identifiers

PMID29617375
PMCPMC5884496

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.